JERRY B AMBONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041357575

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

AMBONG

Business Name

JERRY B AMBONG

BusinessDBA

AMBONG

Original Issue Date

12/11/2006

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

MARLTON

State

Zip

08053

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

07/11/2016